Individual provider Active NPI

Diane Lynn Winkler

  • Pharmacist
  • Wisconsin Rapids, WI
National Provider Identifier
1275956633
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9811-40 Issued in WI
Practice address
1100 E Riverview Expy
Wisconsin Rapids, WI 54494-5483
Phone
(715) 421-1750
Fax
(715) 421-1168
NPI assigned
Jan 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9811-40 WI Primary

Addresses

Primary practice location

1100 E Riverview Expy
Wisconsin Rapids, WI 54494-5483

Mailing address

1100 E Riverview Expy
Wisconsin Rapids, WI 54494-5483
Phone (715) 421-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9811-40WIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1275956633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E RIVERVIEW EXPY",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945483",
            "telephone_number": "715-421-1750",
            "fax_number": "715-421-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E RIVERVIEW EXPY",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945483",
            "telephone_number": "715-421-1750",
            "fax_number": "715-421-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKLER",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9811-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.